Tamara Fuller, RN
Individual provider Active NPI Registered Nurse · Northwood, OH
NPI 1013320548 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1013320548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 375058 (OH)
- Practice address
- 1926 Bailey Rd
Northwood, OH 43619-2302 - Phone
- (419) 779-4344
- NPI assigned
- Jun 2, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 375058 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 375058 | OH | Yes |
Addresses
Primary practice location
1926 Bailey Rd
Northwood, OH 43619-2302
Mailing address
1926 Bailey Rd
Northwood, OH 43619-2302
Phone (419) 779-4344
Other practice location 1
5819 Ryewyck Dr
2
Toledo, OH 43614-4515
Phone (419) 779-4344
Other names
- Tami Borawski
Other providers in Northwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.